Century Villa, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CENTURY VILLA, INC.

Practice address

805 W Arrow Hwy
Glendora, CA 91740-5413

Phone

(714) 323-8270

NPI assigned

Mar 13, 2013

Last updated

Mar 13, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vicki Rollins, RN,BSN,NHA

Title

Vice-President

Phone

(714) 323-8270

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Century Villa Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Century Villa, Inc.

  • Skilled Nursing Facility
  • Inglewood, CA
  • NPI 1659612992
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1427399633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CENTINELA AVE.",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90302",
            "telephone_number": "714-323-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W ARROW HWY",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405413",
            "telephone_number": "714-323-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY VILLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "714-323-8270",
        "authorized_official_credential": "RN,BSN,NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSHPD NUMBER",
            "identifier": "206190106",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTN",
            "identifier": "555368",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55368H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Castro
• Linda Felix Castro, LCSW
• Savanna Leigh Castro
• Daniel Robert Cayem, PH.D. BCBA
• Jessica Yesenia Cendejas, PSY.D.
• Cep America - California (Vituity)
• Cep America - Neurology PC
• Hassan Chahda
• Hoi Man Carman Chan, NP
• Michele Elaine Chan, DPM

• Skilled Nursing Facility in Glendora, CA
• Providers in Glendora, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.